Abstract - Positive penetration cognitions and optimism are associated with less pain, better sexual function, and lower levels of sexual distress in women with dyspareunia

Background To date, most research on cognitive-affective variables in dyspareunia has focused on the role of negative cognitions such as fear of pain and catastrophizing. More recently, pain and sex researchers have started to examine the influence of positive cognitions as well. However, the associations among positive penetration cognitions, optimism, pain, sexual function, and the experience of sexual distress have, as yet, not been studied in women with dyspareunia. In this study, we examined whether positive penetration cognitions and optimism are associated with less pain, better sexual function, and lower levels of sexual distress.

Conclusion Our findings show that positive cognitions and optimism are associated with better functional outcomes in women with dyspareunia and suggest that in addition to reducing the role and impact of catastrophizing and other negative cognitive-affective factors (i.e., fear of pain), enhancing positive penetration cognitions and optimism may be important goals in treatment.

Disclosure/Funding This research is supported through a Postdoctoral Fellowship to Els Pazmany by KU Leuven